title: Post-LASIK ectasia treated with intrastromal corneal ring segments and corneal crosslinking.
abstract: Corneal ectasia is a serious complication of laser in situ keratomileusis (LASIK). We report the case of a 29-year-old man who underwent LASIK in both eyes and in whom corneal ectasia developed in the left eye 3 years after surgery. He was treated sequentially with intraocular pressure-lowering medication, intrastromal corneal ring segment (ICRS) implants, and collagen cross-linking. Vision improved and the ectasia stabilized following treatment. Combined ICRS implantation and collagen cross-linking should be considered early in the management of post-LASIK ectasia.
authors.affiliation: Department of Ophthalmology, University of Toronto, Toronto, Ontario, Canada. kay.lam@mail.utoronto.ca
authors.forename: Kay
authors.initials: K
authors.lastname: Lam
authors.forename: Dan B
authors.initials: DB
authors.lastname: Rootman
authors.forename: Alejandro
authors.initials: A
authors.lastname: Lichtinger
authors.forename: David S
authors.initials: DS
authors.lastname: Rootman
mesh_terms: D000328:Adult; D003316:Corneal Diseases / Q000209:etiology / Q000601:surgery*; D003432:Cross-Linking Reagents / Q000627:therapeutic use*; D004108:Dilatation, Pathologic / Q000209:etiology / Q000601:surgery; D006801:Humans; D020731:Keratomileusis, Laser In Situ / Q000009:adverse effects*; D008297:Male; D017319:Photosensitizing Agents / Q000627:therapeutic use; D011183:Postoperative Complications / Q000601:surgery*; D019919:Prosthesis Implantation; D012256:Riboflavin / Q000627:therapeutic use*; D016896:Treatment Outcome; D014466:Ultraviolet Rays
chemical_list: D003432:Cross-Linking Reagents; D017319:Photosensitizing Agents; D012256:Riboflavin